title: Observer agreement in the detection of proximal caries with direct digital intraoral radiography.
abstract: OBJECTIVE
  The aim of this study was to compare several values for consistency obtained by charged-coupled-device-based direct digital intraoral radiography with those obtained by conventional film-based radiography to evaluate observer agreement in determining the depth of proximal caries.
  
  
  METHODS
  A total of 93 proximal surfaces on radiologic images that were obtained by both the conventional film-based bite-wing technique and by direct digital intraoral radiography were evaluated by six observers. One of these observers also evaluated the same images six months after the initial evaluation. The kappa value, consistency ratio, agreement ratio, and Kendall's correlation coefficient were calculated for interobserver and intraobserver agreement.
  
  
  RESULTS
  The overall kappa values for interobserver agreement were 0.439 and 0.424 in the direct digital system and the film-based radiography, respectively. The depth-related change of the values showed similar patterns in the two modalities for both interobserver and intraobserver agreement.
  
  
  CONCLUSIONS
  The digital intraoral system resulted in no deterioration in observer agreement, and it presents no problems for clinical use with respect to the reliability of diagnosis.
authors.affiliation: Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry, Nagoya, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Naitoh
authors.forename: H
authors.initials: H
authors.lastname: Yuasa
authors.forename: M
authors.initials: M
authors.lastname: Toyama
authors.forename: M
authors.initials: M
authors.lastname: Shiojima
authors.forename: M
authors.initials: M
authors.lastname: Nakamura
authors.forename: M
authors.initials: M
authors.lastname: Ushida
authors.forename: H
authors.initials: H
authors.lastname: Iida
authors.forename: M
authors.initials: M
authors.lastname: Hayashi
authors.forename: E
authors.initials: E
authors.lastname: Ariji
mesh_terms: D003731:Dental Caries / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D015588:Observer Variation; D016300:Radiography, Bitewing; D019252:Radiography, Dental, Digital; D015203:Reproducibility of Results